Provider Demographics
NPI:1053547091
Name:KAZINY, BRENT DANIEL (MD)
Entity type:Individual
Prefix:DR
First Name:BRENT
Middle Name:DANIEL
Last Name:KAZINY
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF UTAH HEALTH SCIENCES CTR
Mailing Address - Street 2:50 NORTH MEDICAL DRIVE
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84132-0001
Mailing Address - Country:US
Mailing Address - Phone:801-587-7450
Mailing Address - Fax:801-587-7455
Practice Address - Street 1:UNIVERSITY OF UTAH HEALTH SCIENCES CTR
Practice Address - Street 2:50 NORTH MEDICAL DRIVE
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84132-0001
Practice Address - Country:US
Practice Address - Phone:801-587-7450
Practice Address - Fax:801-587-7455
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-04
Last Update Date:2009-06-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT7332150-12052080P0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine